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The repeatability of TLUS measurements for external anal sphincter trauma seem to be very good when imaging is undertaken with state of the art equipment and the analysis is performed by an experienced observer.
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This page is a summary of: How repeatable is the assessment of external anal sphincter trauma by exo-anal 4D ultrasound?, Ultrasound in Obstetrics and Gynecology, November 2018, Wiley,
DOI: 10.1002/uog.20175.
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